Pharmacy Lock-in Program

The Vaya Health Lock-in Program helps identify members who are at risk for possible overuse or improper use of pain medications (opioid analgesics) and nerve medications (benzodiazepines). The Vaya Health Lock-in Program also helps identify members who get the medications from more than 1 prescriber (doctor, nurse practitioner, or physician’s assistant). If you qualify for this program, Vaya will only pay for your pain medications and nerve medications when:

• Your medications are ordered by 1 prescriber. You will be given a chance to pick a prescriber in the Vaya network.
• You have these prescriptions filled from 1 pharmacy. You will be given a chance to pick a pharmacy in Vaya’s network.

If you qualify for Vaya Health Lock-in Program, you will be in the program for 2 years. If you do not agree with our decision that you should be in the program, you can appeal our decision before you are placed in the program.